Post-Ebola Awakening: Urgent Call for Investing in Maintaining Effective Preparedness Capacities at the National and Regional Levels in Sub-Saharan Africa.

Autor:	Nzietchueng S; One Health Division, Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St. Paul, MN, USA.; USAID/EPT-2 Preparedness and Response Project., Kambarage D; Mwalimu Julius Kambarage Nyerere University, Musoma, Tanzania., Rwego IB; One Health Division, Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St. Paul, MN, USA.; Department of Biosecurity, Ecosystems and Veterinary Public Health, Makerere University, Kampala, Uganda., Mfinanga SG; National Institute for Medical Research, Dar es Salaam, Tanzania.; Department of Public Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.; Afrique One-ASPIRE., Mbonye A; College of Health Sciences, Makerere University, Kampala, Uganda., Mutonga D; USAID/EPT-2 Preparedness and Response Project., Kaboyo W; USAID/EPT-2 Preparedness and Response Project., Makumbi I; College of Health Sciences, Makerere University, Kampala, Uganda., Muriuki S; USAID/EPT-2 Preparedness and Response Project., Casimir N; Veterinary Service, Ministry of Livestock, Fisheries and Animal Industries.; National Public Health Institute, Abidjan, Côte d'Ivoire., Mduma S; National Institute for Medical Research, Dar es Salaam, Tanzania.; Public Health and Environmental Advancement Interventions 'NGALAKERI' NGO, Morogoro, Tanzania., Makasi C; National Institute for Medical Research, Dar es Salaam, Tanzania.; Public Health and Environmental Advancement Interventions 'NGALAKERI' NGO, Morogoro, Tanzania., Kitua AY; USAID/EPT-2 Preparedness and Response Project.; Department of Biosecurity, Ecosystems and Veterinary Public Health, Makerere University, Kampala, Uganda.; Public Health and Environmental Advancement Interventions 'NGALAKERI' NGO, Morogoro, Tanzania.
Jazyk:	angličtina
Zdroj:	The East African health research journal [East Afr Health Res J] 2019; Vol. 3 (1), pp. 79-84. Date of Electronic Publication: 2019 Jul 30.
DOI:	10.24248/EAHRJ-D-19-00019
Abstrakt:	Background: The 2014 Ebola outbreak reminded us of the importance of preparedness for addressing health security threats. Learning from this experience, we aim to (1) enhance the understanding of preparedness by policy and decision makers, (2) discuss opportunities for Africa to invest in the prevention of health security threats, (3) highlight the value of investing in preventing health security threats, and (4) propose innovations to enhance investments for the prevention or containment of health security threats at the source. Methods: We used observations of governments' attitudes towards investing in preparedness for health security prevention or containment at the source. We conducted a literature review through PubMed, the World Wide Web, and Mendeley using the keywords: "health emergency financing", "investing in health threats prevention", and "stopping outbreaks at the source". Results: Countries in sub-Saharan Africa invest inadequately towards building and maintaining critical capacities for preventing, detecting, and containing outbreaks at the source. Global health security emergency funding schemes target responses to outbreaks but neglect their prevention. Governments are not absorbing and maintaining adequately capacity built through GHS, World Bank, and development aid projects - a lost opportunity for building and retaining outbreak prevention capacity. Recommendations: Governments should (1) allocate adequate national budgets for health honouring the Abuja and related commitments; (2) own and maintain capacities developed through International Development Aids, OH networks, research consortia and projects; (3) establish a regional health security threats prevention fund. The global community and scientists should (1) consider broadening existing health emergency funds to finance the prevention and containment outbreaks at the source and (2) Strengthen economic analyses and case studies as incentives for governments' budget allocations to prevent health security threats. Competing Interests: Competing Interests: None declared. (© The East African Health Research Commission 2019.)
Databáze:	MEDLINE
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